Asfia Ali H., 18

Ashfia Ali Huma is an 18-year-old pregnant woman who enjoys cooking biryani and dreams of having a home of her own; she is 39 weeks and 2 days pregnant with twins and was found to have one fetus in cephalic presentation and the other in breech presentation. Her husband, Asfia Ali Huma, 21, works as a carpenter and is the sole earner, earning approximately USD 49 per month, while Ashfia is a homemaker and the family lives in a camp without a permanent home, making it difficult to afford the medical expenses associated with a twin pregnancy. They learned about Helpster Charity’s medical support through a leaflet and sought assistance for Ashfia’s treatment and safe delivery. She is currently under close medical observation and receiving conservative treatment, but without timely medical management, the twin pregnancy with breech presentation could lead to obstructed labour, fetal distress, birth complications, and serious risks to the mother and babies.

The recommended treatment for her is a lower-uterine cesarean section (LUCS) under spinal anesthesia (SAB), which may be advised based on the twin pregnancy and the fetal presentations to reduce the risk of complications during delivery. With timely surgical intervention and appropriate neonatal care, both babies are expected to have a good chance of being delivered safely and recovering well. However, if delivery is delayed when medically indicated, there may be an increased risk of complications such as fetal distress, umbilical cord prolapse, and birth trauma, including brachial plexus injury and head entrapment. Therefore, close medical monitoring and timely intervention are important for the safety of both the mother and her babies.